The Ethical Dilemma Facing the PMHNP Concerning Refusal of Treatment by Mental.

The Ethical Dilemma Facing the PMHNP Concerning Refusal of Treatment by Mental.

The Ethical Dilemma Facing the PMHNP Concerning Refusal of Treatment by Mental., ,To prepare: Review literature for moral/ethical issues encountered by a PMHNP. Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment. Write a 2-page paper in which you do the following: Summarize the moral/ethical issue in the article (no more than 1 paragraph). Describe the moral and ethical dilemmas surrounding the issue. Analyze the ethical issue and compare them to the state health laws and regulations in your state. Outline the process of ethical decision making you would use to address this ethical dilemma.The Ethical Dilemma Facing the PMHNP Concerning Refusal of Treatment by Mental.,To Respect the Bioethical Principle of Autonomy or to Overlook it in Favor of Beneficence: The Ethical Dilemma Facing the PMHNP Concerning Refusal of Treatment by Mental Health Patients,It is a fact that in the course of their practice, Psychiatric-Mental Health Nurse Practitioners or PMHNPs constantly face situations that represent ethical dilemmas. These ethical challenges are usually difficult and do not have clear-cut solutions. As such, the PMHNP is often required to make choices that may be quite difficult at times (Er & Ersoy, 2017).This paper looks at one such situation involving an ethical dilemma highlighted in a recent published journal article.The Ethical Dilemma Facing the PMHNP Concerning Refusal of Treatment by Mental.,The published journal article selected is by Er and Ersoy (2017). They sought to determine the ethical problems that are faced by psychiatric nurses from the nurses’ own perspective. The study was conducted in Samsun, Turkey with a random sample of 109 psychiatric nurses and used a questionnaire as the data collection instrument. Data analysis was by non-parametric Chi-square and Mann-Whitney U tests. They found out in the results that the most common ethical dilemma involved the respect for the psychiatric patient’s autonomy. Autonomy is the bioethical principle that states that a patient’s right to make a choice on his treatment must be respected (Buppert, 2018).The Ethical Dilemma Facing the PMHNP Concerning Refusal of Treatment by Mental.,The moral/ ethical issue highlighted in this journal article and which this paper is concentrating on is, therefore, the situation in which a PMHNP ia faced with a patient who refuses admission and treatment; whereas they are impaired and also present a danger to themselves and others. The question and dilemma for the PMHNP is then whether they should respect the patient’s right choice as per tge principles of autonomy, or overlook this right and treat them anyway as required by the bioethical principle of beneficence (Er & Ersoy, 2017).The Ethical Dilemma Facing the PMHNP Concerning Refusal of Treatment by Mental.,The solution to this dilemma is not as easy as it may seem. This is because as muvh6as the patient is entitled to his ethical rights, thete are also other factors to consider. These include rules, regulations, and laws of the jurisdiction of practice of the PMHNP. The chapter on “Resolving Ethical Dilemmas” in Buppert’s book states that ethics is concerned with actions that benefit both the individual in question and the society at large. Furthermore, the overriding ethical rule in nursing is to “do no harm” (Buppert, 2018). Certainly, a patient who is not in a position to make logical decisions because of cognitive impairment needs help (beneficence). However, the patient also still has a right to autonomy.The Ethical Dilemma Facing the PMHNP Concerning Refusal of Treatment by Mental.,Referring to the laws and regulations in the state of New York concerning this matter, the appropriate law is Mental Hygiene Law (Mannekote et al., 2019). According to this law, there are three scenarios in which a psychiatric patient can be admitted and goven treatment. These are informal admission (section 9.15 of Article 9), voluntary admission (section 9.13 or Article 9), and involuntary admission or civil commitment (sections 9.37, 9.39, and 9.40 of Article 9). This paper concentrates on the third modality, as it is the one applicable in this situation. The patient with impaired judgement who can neither understand the need for treatment nor make a decision ia admitted involuntarily. Since he is also a substantial risk to both himself and others, overriding the principle if autonomy is justified. However, according to this law, this patient can be converted to voluntary admission status at any time during his treatment. In that case, he will ne able to ask to leave at any time (Mannekote et al., 2019). Therefore, as a PMHNP, the process of ethical decision making I would employ in this situation would be to take action of overriding autonomy only after ascertaining that the patient is indeed impaired, has no next of kin with them, and requires urgent psychiatric treatment.The Ethical Dilemma Facing the PMHNP Concerning Refusal of Treatment by Mental.

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